Umbilical Hernia Probe-Induced Cocco Sign: Color Doppler During Pressure and Release in Standing Position

Area of Science:

• Medical Imaging
• Diagnostic Ultrasound
• Abdominal Wall Anatomy

Background:

• Umbilical hernias are common abdominal wall defects.
• Skin ultrasound is typically used for superficial lesions.
• Diagnostic challenges can arise in identifying abdominal wall abnormalities.

Purpose of the Study:

• To report a case of ultrasound-detected umbilical hernia.
• To describe the Cocco sign in the context of umbilical hernia.
• To highlight the utility of skin ultrasound in identifying abdominal wall pathology.

Main Methods:

• A 56-year-old female patient underwent a skin ultrasound examination.
• The ultrasound probe was positioned at the umbilical level with the patient standing.
• Dynamic assessment involving probe pressure and release was performed.

Main Results:

• An umbilical hernia was detected via ultrasound.
• The Cocco sign, characterized by probe-induced changes, was observed.
• The sign was revealed upon release of probe pressure.

Conclusions:

• Skin ultrasound can be a valuable tool for detecting umbilical hernias.
• The Cocco sign is a potentially useful sonographic finding for umbilical hernias.
• This case demonstrates the importance of considering abdominal wall pathology during skin ultrasounds.